| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.49 | $315.49 | $454.51 | |
Aetna
| Professional | $122.37 | $340.88 | $340.88 | |
Cigna
| Facility | $136.36 | $363.62 | $681.78 | |
Cigna
| Professional | $130.32 | $153.31 | $289.27 | |
Moda Health
| Facility | $210.33 | $340.88 | $374.97 | |
Moda Health
| Professional | $174.81 | $178.31 | $209.77 | |
Molina
| Professional | $133.72 | $157.33 | $340.88 | |
Regence BlueShield
| Facility | $262.22 | $375.48 | $629.32 | |
Regence BlueShield
| Professional | $278.24 | $307.39 | $307.39 | |
United
| Professional | $73.42 | $73.53 | $201.03 |